Cancer, Diabetes, Infection, Obesity, Surgery
COVID Means Double Trouble, and Worse
If ever a time to act on your health, this is it. Study after study in leading medical journals reports compounding troubles from COVID-19. What was described as a lung disease early in the pandemic is now better recognized as an attack on health systems – your own body’s systems involving multiple organs as well as societal systems of disease surveillance and care delivery. Whether you have been infected or not, chances are high your health is becoming worse. New research should raise alarm bells. In the journal, Nature, Dr. Ziyad Al-Aly, chief of research at Veterans Affairs St. Louis Health Care System, reported on deteriorated health of COVID-19 survivors. To his amazement, the disease was not just deadlier for people with...Read More
Genetics, Obesity, Pain
Gout: No Longer the Blue-Blooded Disease
King Henry VIII of England offers an excellent example of how too much wine, rich food and obesity trigger the agony of gout. But why did Leonardo da Vinci, Sir Isaac Newton, and Benjamin Franklin, to name a few, develop this excruciating disease? And how can you decrease the risk? More than nine million North Americans suffer from gout, a type of inflammatory arthritis in which the body produces too much uric acid, or the kidneys fail to excrete enough. Genes play an important role. Gout and diseases such as diabetes are more likely to occur if there is a family history. But given the rise from only 3 million cases just over a decade ago, more than genetics is driving the...Read More
Lifestyle, Obesity, Sports
Weightlifting, Not Just for a Medal
When asked how they exercise, people often report jogging, bicycling or walking. But what about weightlifting? Authorities say that picking up weights is not about winning a medal. Rather, as we age, strength exercises can help circumvent medical problems. Take if from Arnold Schwarzenegger, who famously remarked, “The best activities for your health are pumping and humping.” Let’s leave the humping part aside for now. When it comes to pumping weights, there are a lot of myths. First, lifting dumbbells is not just for building muscles. In fact, it helps to fight one of the problems that can change your life in a split second. Getting older is invariably fatal. But long before the final event, we begin to lose bone density,...Read More
Nutrition, Obesity
Questions About the Ketogenic Diet
What is a ketogenic diet? How does it differ and is it more effective than other diets? Apart from the hype surrounding this diet, what are the medical concerns about it? Recent marketing of the ketogenic diet suggests it’s a new one. But a report from the University of California says it’s been used for years to treat medical problems such as epilepsy in children. But what is it about the ketogenic diet that causes weight loss? A major factor is that it’s low in carbohydrates and high in fats. Blood sugar (glucose) is normally the body’s main source of energy. But when blood sugar is diminished by eating less carbohydrates, the body is unable to maintain needed levels. To compensate, the body...Read More
Gastroenterology, Nutrition, Obesity
It takes guts to have good health
Why is it that some people eat to their heart’s content and never gain a pound, while others gain weight with a glance at the plate? As Bill Gates said, “Life is not fair. Get used to it.” But fair or unfair, is there a complex, unseen system that plays a role in weight management for each of us? Your ability to maintain a healthy weight involves factors beyond diet and exercise. Some people’s metabolism, or operating system, is faster than others, requiring more energy to run. But there’s more than speed and efficiency. The gut microbiome contains microbial cells, including bacteria, that outnumber the cells in the body. Having evolved with us for millions of years, they all serve important functions,...Read More
Cardiovascular, Diabetes, Obesity
How Apples Work for Your Waist
As this long period of isolation eases, are you noticing your friends and neighbours have put on weight around their middles? How unfortunate it is if the coronavirus crisis piles on additional chronic health problems for individuals and society due to weight gain, or what has come to be known as metabolic syndrome. The World Health Organization defines metabolic syndrome as a new non-communicable disease characterized by abdominal obesity, insulin resistance, high blood pressure, and high blood fats. To make the diagnosis, doctors measure the waistline, blood pressure, and glucose, triglyceride, and cholesterol levels. The risk of metabolic syndrome is a progression to Type 2 diabetes. The prescription to avert this preventable disease is to lose the extra weight through exercise...Read More
Diabetes, Obesity
Obese Patients at Higher Risk of COVID-19 Complications
In the play, Julius Caesar, William Shakespeare wrote, “Let me have men about me that are fat. Yond Cassius has a lean and hungry look. Such men are dangerous.” Caesar saw no risk in well-fed men. But fast ahead 500 years, and we now know that being overweight is a major health hazard. Several reports show this is especially true for those attacked by COVID-19. A study of 17,000 hospital patients with COVID-19 in the UK showed that those overweight had a 33% greater risk of dying than those who were not obese. Another study by the British National Health Service showed the risk of dying from COVID-19 doubled among obese people. Researchers noted that having additional risk factors related to obesity,...Read More
Diabetes, Obesity, Philosophy
Who’s Fighting the Obesity and Diabetes Pandemics?
Day after day, health officials stress that the best way to fight the coronavirus is by staying home, keeping our distance from others, and practicing good hygiene. But human isolation is crippling the world’s economy. So, does this approach make sense when other devastating pandemics have been raging for years and killing more people? The number of coronavirus deaths is changing daily. To date, 200,000 people have died worldwide, over 52,000 in the U.S, and over 2,300 in Canada. But the World Health Organization reports that obesity has reached epidemic proportions globally, killing 2.8 million people annually, or 7,671 people per day. Diabetes and high blood glucose annually kill 3.8 million people worldwide, or 10,411 per day. So, what is the difference? The...Read More
Alternate Treatments, Lifestyle, Miscellaneous, Obesity
Is Home Confinement a Good Time to Try Fasting?
Today, nearly all of us are in enforced home confinement due to an invisible foe, the coronavirus. So, how do we amuse ourselves? Some pick up books they’ve always wanted to read. Others get household chores done. But how about some of us losing weight? If typical busy schedules have interfered with your efforts in the past, could the current context support a concentrated effort on fasting to shed pounds? And what are the best ways to fast? Fasting diets have generated considerable buzz among diet gurus in the media, not only as an approach to weight loss but also as a way to improve overall health. But do facts back it up? Researchers say that animals and humans share some comment...Read More
Obesity
A Talking Scale to Fight Obesity
Are readers tired of me telling them that they should step on the scale every day? No one has said, “Enough is enough!” Besides, tons of readers evidently ignore my advice. Since the obesity epidemic gets worse year after year, is there any other way to convince readers that obesity causes Type 2 diabetes, heart attack and strokes? This week, here’s another idea to prevent these tragedies. I discovered talking scales. I was so impressed with the smart innovation that I’ve placed a talking scale on my website. A voice from the scale might finally get this health message across before sickness strikes. Moreover, the right message on the scale could separate fact from fiction about obesity. I’ve heard every imaginable excuse...Read More
Cancer, Obesity
Cancer and Obesity
What decreases the risk of cancer? A colonoscopy detects polyps before they become malignant. Also a rapid response to report unusual bleeding, a cough that lasts a few weeks, or a suspicious mole. But a report funded by the Canadian Cancer Society, links excess weight as the cause of several types of cancer. So what is it about obesity that triggers malignancy? And what to do about it? For years health authorities have labelled obesity a health hazard. The reason is that it often leads to Type 2 diabetes, then later to heart attack. But now, researchers claim that excess weight will soon be the second leading cause of cancer just behind tobacco. Sadly, being overweight has not received the attention...Read More
Cancer, Lifestyle, Obesity
Death in Both Sexes due to the “Stupidity Factor”
What’s a great medical tragedy? It’s being diagnosed with a disease for which there is no cure. Possibly an even greater tragedy is dying from what’s been called the “Stupidity Factor”. These cases occur because patients ignore symptoms which indicate cancer may be present. But due to either fear or the hope it won’t happen again, they do nothing, thereby signing their own death warrant. This folly occurs in both sexes, resulting in failure to get a test done. The prime example is colonoscopy, which detects polyps in the large bowel that can be removed. This procedure can save people from premature death. Another major folly is to ignore rectal bleeding. I recall a friend who confided he had noticed rectal bleeding....Read More
Obesity
Fatty Liver Disease on the Rise
Who hasn’t heard of the Mayflower – the ship that brought pilgrims to the U.S. in 1620? What is rarely known is that towards the end of that voyage, it was necessary to ration beer, and some pilgrims died as a result. In those days beer was safer to drink than water. It’s still a safe drink when used moderately, but excessive amounts can cause cirrhosis of the liver. And how many know that too much food can also cause nonalcoholic fatty liver disease (NAFLD) in young people, that may require a liver transplant? Today, the worldwide epidemic of Type 2 diabetes is well known. But liver disease rarely gets headlines. Yet, according to the American Liver Foundation, and some experts,...Read More
Lifestyle, Nutrition, Obesity
Will a Tax On Sugar Cure Obesity?
35 years ago I warned readers about the dangers of excessive sugar consumption and labelled sugar the “white devil”. The sugar industry was not amused, and complained to the College of Physicians and Surgeons that I should be disciplined. I won, after a trying, difficult battle. How things change! Five countries currently have a sugar tax. Now the British are debating the merits of a 20 per cent tax on high sugar products to help fight the epidemic of obesity and Type 2 diabetes. Why this change of heart? Dr Simon Capewell, UK vice-president of health policy, says, “public opinion on a sugar tax is shifting. The majority of parents are angry that their children are being made fat”. He adds, “It’s...Read More
Nutrition, Obesity
PGX Fights Constipation, Cholesterol and Obesity
W. C. Fields, the comedian with the bulbous, red alcoholic nose, when asked if he would like a glass of water, always replied, "Water is for flowing under bridges." But Fields didn't know about "The Ultimate Volumetrics Diet", or PGX. Dr. Barbara Rolls, Professor of Nutritional Sciences at Penn State University in Pennsylvania, reports in the publication "Nutrition Action" that, when she was studying the effects of fats, carbohydrates and proteins in food intake, she had a "Eureka moment". People, she concluded, were not regulating their calories. Rather, they were regularly eating the same weight or volume of food. Her next "Eureka moment" came with the observation that it's possible to eat a large volume of food and still lose weight if...Read More
Cardiovascular, Obesity, Pediatrics
Niagara’s Grass Roots Approach Targets Childhood Obesity
What will it take to eliminate the current obesity epidemic in children? There’s no easy answer and every year children are putting on more pounds. So why not try a new approach? The one veteran politicians use to get elected, the grass roots approach? This is what Dr. Stafford Dobbin, a wily Irishman and family physician, decided to try in the Niagara Region. It should set a standard for the nation. Dr. Dobbin, graduate of Queen’s University in Belfast, and a family doctor, has a hero. He’s Professor Frank Pantridge, a cardiologist in Belfast, who invented the cardiac ambulance. Pantridge was the first to realize that if ambulances carried defibrillators, countless lives of coronary victims would be saved in Northern Ireland...Read More
Lifestyle, Obesity
Can You Be Hefty and Healthy?
For years this columnist and others have been screaming from the rooftops that excess pounds are unhealthy. Now several reports show that it's not that simple and it's possible to be both hefty and healthy. So how can you do it? A study of 2,600 people published in the Journal of The American Medical Association showed that physically active people had about the same mortality rate regardless of whether they were underweight, normal weight or overweight. In fact, the news was even better for those who were overweight. People who were obese, but fit and in good cardiovascular health, had a strong survival edge over those who were thin couch potatoes. I've told patients for years to buy a scale and step...Read More
Obesity
Famine: The Only Cure For Obesity
"How can the obesity problem be solved in our country?" a U.S. interviewer recently asked me. I hadn't had too many martinis or wasn't joking when I replied, "It would take a famine." Just look at the failures. The city of Calgary has just announced it's Number One. Not because the Calgary Flames won the Stanley Cup. Rather, it's the first city in Canada to have a "bariatric response team". Not an elite anti-terror squad, but trained paramedics and a $30,000 mechanical system to lift morbidly obese patients onto a stretcher. In March of this year Florida paramedics required three hours, some plywood, two stretchers, and removal of a window to get a 500 pound man out of his home. Massachusetts paramedics...Read More
Nutrition, Obesity
It Will Take A Famine
"How can the obesity problem be solved in our country", a U.S. interviewer recently asked me. He expected me to discuss all the usual diets to fight this epidemic. And I hadn't had too many Martini's nor was I joking when I replied, "It would really take a famine". Is this just my dreary opinion or are others simply using different words to say the same thing? A report from the Institute of Medicine in the U.S. says nine million children older than six years of age are obese. Another U.S. report shows that children whose mothers are obese are 15 X more likely to be obese by six years of age. And we know from experience that obese children usually...Read More
Obesity, Pediatrics
Children Choked By Their Own Fat
"Three year old child dies of heart failure due to obesity." This British headline recently shocked the nation. What an appalling situation when a generation of obese children may die before their parents. So what about fighting this problem by Britain's proposed "Red Light" approach? Doctors at an English pediatric clinic report that they are seeing young children who need ventilator help while sleeping. It's hard to believe, but they're being choked by their own fat! In the U.S. researchers at Cincinnati Children's Hospital studied 343 extremely obese children ranging in age from 5 to 23 with an average age of 12. They discovered that the left ventricle, the main pumping chamber of the heart, was thicker resulting in decreased blood flow...Read More
Nutrition, Obesity
Schools and Hospitals Can Fight Soda Pop Obesity
What would you do if you're a member of a school board facing this dilemma? You need money for the school gym and a soft drink company has offered to install soft drink vending machines and share the profits with you? The end result of course, will be money for the school, and damaged health for the children. But there is way where everyone benefits. Today schools are justifiably criticized for placing soda pop machines within reach of students. After all, it's downright hypocrisy to preach the importance of sound nutrition to children. Then allow sugar laden drinks to add to the epidemic of obesity in children. One can only wonder why the Minister of Health remains silent while this happens. Excess...Read More
